Claims that getting a professional bike fit significantly improves riding comfort and speed and reduces overuse injuries seem suspicious – how can a centimetre here or there make such a large difference? A very wrong fit (e.g. an adult using a children’s bike) of course creates big problems, but most people can adjust their bike to a reasonable fit based on a few online suggestions.

To determine the actual benefit of a bike fit requires a randomised trial: have professionals determine the bike fit for a large enough sample of riders, measure and record the objective parameters of the fit (centimetres of seatpost out of the seat tube, handlebar height from the ground, pedal crank length, etc). Then randomly change the fit by a few centimetres or leave it unchanged, without the cyclist knowing, and let the rider test the bike. Record the speed, ask the rider to rate the comfort, fatigue, etc. Repeat for several random changes in fit. Statistically test whether the average speed, comfort rating and other outcome variables across the sample of riders are better with the actual fit or with small random changes. To eliminate the placebo effect, blind testing is important – the cyclists should not know whether and how the fit has been changed.

Another approach is to have each rider test a large sample of different bike fits, find the best one empirically, record its objective parameters and then have a sample of professional fitters (who should not know what empirical fit was found) choose the best fit. Test statistically whether the professionals choose the same fit as the cyclist.

A simpler trial that does not quite answer the question of interest checks the consistency of different bike fitters. The same person with the same bike in the same initial configuration goes to various fitters and asks them to choose a fit. After each fitting, the objective sizing of the bike is recorded and then the bike is returned to the initial configuration before the next fit. The test is whether all fitters choose approximately the same parameters. Inconsistency implies that most fitters cannot figure out the objectively best fit, but consistency does not imply that the consensus of the fitters is the optimal sizing. They could all be wrong the same way – consistency is insufficient to answer the question of interest.